OpenBilldrug price receipt

NADAC week of 2026-10-14

BETHANECHOL 5 MG TABLET

For 30 tablets

Pharmacies pay

$3.66 filed

30 × $0.12208 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$15.45 filed

30 × $0.51488 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

4.2× estimated

Medicare paid 4.2× what pharmacies pay.

Part D averages every strength and form sold under “Bethanechol Chloride” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$9.21 estimated

$3.66 + $0.55 (15%) + $5.00 fee per fill = $9.21

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

BETHANECHOL 5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as bethanechol chloride.

FDA gives its dosage form as tablet and its route as oral.

FDA lists 5 labelers (the companies named on the label) for its NDCs, among them Upsher-Smith Laboratories, LLC, Heritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Labs Inc. and Amneal Pharmaceuticals of New York LLC.

FDA’s Established Pharmacologic Class for it is Cholinergic Muscarinic Agonist.

The NADAC file of 2026-10-14 prices it under 5 NDCs (National Drug Codes).

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $3.66 for 30 tablets (30 × $0.12208 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.

All 5 NDCs

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name bethanechol chloride with BETHANECHOL 5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
BETHANECHOL 5 MG TABLET this page
generic · tablet
$0.12208 per EA filed
eff. 2026-09-23
$0.51488 per EA filed
Part D 2024 average
BETHANECHOL 10 MG TABLET
generic · tablet
$0.14989 per EA filed
eff. 2026-09-23
$0.51488 per EA filed
Part D 2024 average
BETHANECHOL 25 MG TABLET
generic · tablet
$0.18782 per EA filed
eff. 2026-09-23
$0.51488 per EA filed
Part D 2024 average
BETHANECHOL 50 MG TABLET
generic · tablet
$0.27036 per EA filed
eff. 2026-09-23
$0.51488 per EA filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 5 NDCs’ NADAC prices is $0.12208 per EA filed.

Of the 6 other products in FDA’s Cholinergic Muscarinic Agonist class priced per EA, 6 have a higher middle NADAC price and 0 a lower one. The one in the middle is BETHANECHOL 50 MG TABLET, at $0.27036 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $15.45 for 30 tablets, at an average of $0.51488 per EA in 2024 (2024-01-01 to 2024-12-31) for “Bethanechol Chloride”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 194,589 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for BETHANECHOL 5 MG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Bethanechol Chloride / Bethanechol Chloride: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name.